The classification and treatment of Kienböck’s disease: the state of the art and a look at the future

Author:

Lichtman D. M.1,Lesley N. E.1,Simmons S. P.1

Affiliation:

1. Bone and Joint Research Center, Department of Orthopaedic Surgery, University of North Texas, Fort Worth, TX and the Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA

Abstract

The proper treatment of Kienböck’s disease, a disorder that displays slow progression with eventual collapse of the lunate and alteration of the surrounding carpal architecture, requires an understanding of its aetiology and natural history. A reproducible classification system assists the surgeon in making appropriate treatment choices. In this discussion, we review the history and rationale for the four-stage step-wise classification system, along with our current treatment algorithm. We also discuss emerging classification systems and speculate on future directions in treatment and research.

Publisher

SAGE Publications

Subject

Surgery

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